Physician

Mark Cruciani, MD

According to 2025 Medicare claims, Mark Cruciani, MD (NPI: 1235171646) practices rheumatology in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Lackawanna, PA. Cruciani uses personal NPI as billing NPI and primary practice location at 18509-2330.

Cruciani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 253 traditional Medicare patients, billed 35,171 HCPCS/CPT codes, and received $388,457 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 4,960 prescription claims across 339 beneficiaries totaling $1,139,061 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2015 DME data shows 12 claims. Open Payments data shows 25 records totaling $676. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have declined steadily, from $1,285,774 to $1,139,061. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$366K$733K2015 Medicare payment: $586,608 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $567,087 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $521,057 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $418,337 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $534,115 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $467,682 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $732,739 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $552,997 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $476,884 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $388,457 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201558925,985$586,608
201657121,386$567,087
201753016,832$521,057
201838112,742$418,337
201929116,302$534,115
202030013,991$467,682
202128320,168$732,739
202226620,767$552,997
202325019,486$476,884
202425335,171$388,457

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$730K$1.5M2015 Drug cost: $1,285,774 (USD; Tot_Drug_Cst)2016 Drug cost: $1,260,945 (USD; Tot_Drug_Cst)2017 Drug cost: $1,337,248 (USD; Tot_Drug_Cst)2018 Drug cost: $1,295,316 (USD; Tot_Drug_Cst)2019 Drug cost: $1,460,003 (USD; Tot_Drug_Cst)2020 Drug cost: $1,012,434 (USD; Tot_Drug_Cst)2021 Drug cost: $894,173 (USD; Tot_Drug_Cst)2022 Drug cost: $866,775 (USD; Tot_Drug_Cst)2023 Drug cost: $864,045 (USD; Tot_Drug_Cst)2024 Drug cost: $1,139,061 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155427,865$1,285,774
20165447,929$1,260,945
20175317,761$1,337,248
20184646,804$1,295,316
20194076,326$1,460,003
20203716,102$1,012,434
20213565,725$894,173
20223555,374$866,775
20233475,277$864,045
20243394,960$1,139,061

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$500$1.0K2015 Medicare payment: $1,001 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R12$1,001
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3838$104
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6181$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more208434$54
20610Aspiration and/or injection of fluid from large joint68105$49
J1010Injection, methylprednisolone acetate, 1 mg9710,580$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab291,092$261,154
Enbrel SureclickEtanercept24672$171,045
RinvoqUpadacitinib27810$170,821
Humira PenAdalimumab21588$140,554
BenlystaBelimumab19532$90,827

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.25$676Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark Cruciani, MD?

Tedicare shows public-source Medicare data for Mark Cruciani, MD (NPI 1235171646), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Mark Cruciani, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mark Cruciani, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Mark Cruciani, MD have Open Payments data?

Mark Cruciani, MD has 25 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.